A 74-year-old patient reports having sleeping difficulties. To have a better idea of the patient's problem, how should the nurse respond?
a. "What do you do just before going to bed?"
b. "Let's make sure that your bedroom is completely darkened at night."
c. "Why don't you try napping more during the daytime?"
d. "You should always eat something just before bedtime."
A
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A To assess the patient's sleeping problem, the nurse should inquire about predisposing factors, such as by asking, "What do you do just before going to bed?" Assessment is aimed at understanding the characteristics of any sleep problem and the patient's usual sleep habits so that ways for promoting sleep can be incorporated into nursing care.
B Older adults may prefer to sleep in softly lit rooms.
C Napping more during the daytime is often not the best solution. The nurse should first assess the patient's sleeping problem.
D The patient does not always have to eat something before going to bed. The nurse should first assess the patient's current sleep habits.
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